Methods and apparatus for removal of intracranial hemorrhage
A system for intracranial access that includes a support assembly is described. The system includes a tubular probe shaft that may be advanced through a hole in the patient's skull. The tubular probe shaft houses a rotating element that cuts clot, and is connected to a vacuum source to aspirate clot fragments and blood from the site. The rotating element may have a bident shape.
1. Apparatus for removing a lesion from a brain comprising:
a tubular probe shaft having a lumen configured to be advanceable through a skull to a site of the lesion;
a cutting instrument;
a wire disposed within the lumen, connected to the cutting instrument by only a distal end of the wire, and configured to:
rotate the cutting instrument; and
contact, with at least a portion of the wire, an inner surface of the lumen when the cutting instrument is rotated; and
a vacuum source in fluid communication with the lumen.
2. The apparatus of claim 1 , wherein the rotation of the cutting instrument cuts or abrades the lesion to produce lesion fragments.
3. The apparatus of claim 2 , wherein the vacuum source is configured to aspirate lesion fragments.
4. The apparatus of claim 1 , wherein the rotation of the wire inhibits clogging.
5. The apparatus of claim 1 , wherein contact between the wire and the inner surface of the lumen during rotation inhibits clogging.
6. The apparatus of claim 1 , wherein the rotation of the wire causes the wire to continually abrade against the inner surface of the lumen to inhibit clogging.
7. The apparatus of claim 1 , wherein the wire comprises a helical wire.
8. The apparatus of claim 1 , wherein the cutting instrument has a bident configuration.
9. The apparatus of claim 1 , wherein the cutting instrument comprises a blade.
10. The apparatus of claim 1 , wherein the cutting instrument comprises a planar blade.
11. The apparatus of claim 10 , wherein the planar blade has a distal cutting edge and a pair of lateral sides that taper from the distal cutting edge to a base of the planar blade.
12. The apparatus of claim 11 , wherein the distal cutting edge comprises a concaved region between two cutting edges at lateral extremities.
13. The apparatus of claim 1 , including a handle having a motor configured to rotate the wire.
14. The apparatus of claim 13 , including an aspiration tube attached to the vacuum source and a proximal end of the tubular probe shaft, wherein a lumen of the aspiration tube is contiguous with the lumen of the tubular probe shaft.
15. The apparatus of claim 14 , wherein the motor and the wire are at least partially axially aligned with the tubular probe shaft and the aspiration tube diverges from an axis of the tubular probe shaft.
16. The apparatus of claim 14 , including an aspiration control on the handle.
17. The apparatus of claim 16 , wherein the aspiration control comprises a manually coverable slot configured to selectively bleed suction from the aspiration tube.
18. Apparatus for removing a lesion from a brain comprising:
a tubular probe shaft having a lumen configured to be advanceable through a skull to a site of the lesion;
a cutting instrument;
a wire disposed within the lumen, connected to the cutting instrument by only a distal end of the wire, and configured to:
rotationally oscillate the cutting instrument; and
contact, with at least a portion of the wire, an inner surface of the lumen when the cutting instrument is rotationally oscillated; and
a vacuum source in fluid communication with the lumen.
19. The apparatus of claim 18 , wherein the oscillating rotation of the wire inhibits clogging.
20. The apparatus of claim 18 , wherein the oscillating rotation of the wire causes the wire to continually abrade against the inner surface of the lumen to inhibit clogging.